[News FM Lee Ik-seon Choi Soo-young Issue & People]
□ Broadcast date and time: November 29, 2024 (Fri)
□ Host: Lee Ik-seon, Choi Soo-young
□ Contributor: Old Society of Internal Medicine (Director of the Department of Internal Medicine, OK)
* The text below may differ from the actual broadcast content, so please check the broadcast for more accurate information.
◇ Profitsun: Your week's dead energy. You're going to charge it here. To reduce the knowledge of health, we will be with the president of the Okay Internal Medicine Ward Association, an internal medicine specialist. Welcome, director. Hello. It's full-fledged year-end party season. So today, we will look at gastritis, a disease caused by excessive drinking and overeating. If you have any questions about it, please text me if you have anything you want to say, "Oh, I'm in a similar situation."
◈Old competition: Hello.
◇Lee Ik-seon: I heard that more people are visiting the hospital for gastritis as drinking is becoming more frequent these days, is that true?
◈Old competition: Yes, as winter is coming and the end of the year is coming, there are many seats, so your diet is not good. And as you said, too much drinking is also present, so more people come with symptoms such as heartburn or indigestion. It gets more in winter. There are statistics that the increase in gastritis and these symptoms in winter is due to problems with gastric motility. Some say that it is now affected by the difference in temperature. So the number of patients increases one way or the other.
◆Choi Soo-young: I see. When we say gastritis, it feels like a disease in everyday life. So in the past, we found and ate gel OOO, but I heard that gastritis is largely divided into acute and chronic. Then I think, 'What's chronic now? Then maybe I'm chronic?' What are the criteria for chronicity?
◈Old competition: There is no standard for dividing gastritis into chronic or acute. Usually, people who continue to visit the hospital often call it chronic gastritis because of repeated and continuous heartburn, indigestion, or gastritis symptoms. I'm okay, but I've been under a lot of certain stress, my diet has been bad recently, I've taken something wrong, or I've taken the wrong medicine, so I suddenly have symptoms, come to the hospital, get prescribed medicine, and 'It got better after a few days.' People who say, 'Oh, it was acute gastritis.' But then you might say that the standard is too ambiguous, so if I say it more clearly as a doctor, This is because the diagnosis of gastritis can be diagnosed and prescribed medicine only with symptoms. For those with severe symptoms and severe stomach pain, if you look at the gastroscopy. There are a lot of people who have a clean gastroscopy. If you come to the examination and do it without any symptoms, there are some people who do not feel reflux esophagitis even if they look at the gastroscopy. Therefore, many people have gastritis or gastric ulcers, or even those who have gastric cancer without symptoms are found without symptoms, so it is correct to look at gastritis, which is diagnosed as a symptom, and gastritis, which is diagnosed by gastroscopy and histopathology, a little differently.
◆Choi Soo-young: But we often have to be really sick. So, don't you mean that there are cases where it's very dangerous even when it's not sick?
◈Old competition: That's right. It is often found very dangerous when you are just sick than you think. But there were many cases where it was found much more seriously than I thought.
◇ Lee Ik-seon: Is that a genetic difference? Or is it the difference in personal endurance? What's the difference?
◈Old competition: First of all, the gender gap is a bit big. Some men don't feel it very well. Women feel sensitive even if there are few wounds, so there are a lot of people who constantly complain of gastritis symptoms. So, since the diagnosis is made only by symptoms, I think it's hard to distinguish between acute and chronic.
◆Choi Soo-young: Is the top of the man thick? Compared to women?
◈Old competition: I'm not sure about that, but from my experience, I'm telling you now.
◇Lee Ik-seon: It is interpreted that gastritis has inflammation in the stomach, is that the expression correct? So what is the biggest cause of gastritis?
◈Old competition: If the biggest cause of gastritis is bad eating habits and lifestyle habits may be the first in Korea. Coffee seems to be the cause of the recent increase. Caffeine coffee, these days, and there are so many caffeine drinks. Those things stimulate caffeine even though it's stomach acid. It also plays a role in releasing the sphincter between the stomach and the esophagus, causing a lot of reflux esophagitis. But everyone loves coffee and a lot of people drink it. As a result, many people are complaining of gastritis symptoms because of that.
◇Lee Ik-seon: Then, how much coffee do you think is appropriate daily as an internal doctor?
◈Old competition: It's so different from person to person. Some people can't completely remove decaffeinated caffeine just by drinking decaffeinated coffee. As a result, there are people who can't eat decaffeinated coffee because they develop symptoms. There are some people who are fine even if they drink 5-6 cups a day.
◇ Lee Ik-seon: You're right. Then it's hard to recommend this. If I say, "My heart aches when I drink coffee," I'll have to stop.
◈Old competition: That's better.
◆Choi Soo-young: But it's something we often hear, and there's a saying that the infection of Helicobacter pylori is one of the causes.
◈Old competition: Helicobacter bacteria are a lot of bacteria in Korea. It is a fungus that lives in the stomach and eats the stomach little by little and eventually destroys the stomach. There have been many cases in Korea since a long time ago, so it is a bacteria that causes gastritis, gastric ulcers, or even stomach cancer caused by atrophic gastritis. So, if it is found in gastroscopy, I actively recommend treatment.
◇Lee Ik-seon: But is there a lot of reasons in Korea?
◈Old competition: The cause of this is unknown, of course. In the past, Korea used to put rice together and eat it together with national soup. As a result, it is transmitted to children between families, and even after those children grow up, bacteria remain in the stomach and continue to bother the stomach.
◆Choi Soo-young: But I used to eat that a lot in the past, but these days, everyone eats it in small portions.
◈Old competition: So it's decreasing a lot. The number of people with Helicobacter bacteria is also decreasing, but the incidence of gastric cancer is also decreasing, so I'm thinking, 'It gives some results because it gives some causes.'
◇Lee Ik-seon: Our country especially eats hot soup or hot food like this. But I've heard a lot that it's never good.
◈Old competition: But it's above the top when it's hot. The esophagus is weaker than the stomach. The stomach has to withstand the acid and the thickness is a little, so it's not easily deformed from hot things. It is not good to drink too hot drinks or such as hot drinks as a cause of esophageal cancer in the esophagus while crossing the esophagus.
◆Choi Soo-young: If chronic gastritis is left unattended, the incidence of gastric cancer increases. It's often official like this. Is it right?
◈Old competition: All bodies are like that. Don't many bad things happen if you leave inflammation unattended? Among them, if stomach inflammation is left unattended, gastric cancer and gastric ulcers can occur, so 100% gastric cancer and gastric ulcers are caused by gastritis. I can't do it 100% but I think it contributes a lot to that.
◇Lee Ik-seon: Here's an interesting statistic. According to the World Health Organization, the incidence of stomach cancer in Korea is 27 per 100,000 people, ranking third in the world after Mongolia and Japan. But I'm surprised that we're in third place, but I'm also surprised that Mongolia and Japan outnumber us.
◈Old competition: I know. But as I said earlier, the incidence of gastric cancer in Korea is gradually decreasing. And now, statistics have been established for a long time as Japan and Korea have a high incidence of gastric cancer worldwide. These days, we know that the ranking of gastric cancer has been pushed down to 3rd or 4th place in Korea, and it may vary depending on the time of statistics, but gastric cancer is said to decrease the number of Helicobacter anyway, and salt intake is decreasing a lot these days. As people become more interested in well-being, they don't really like eating salty food anymore, so the incidence of stomach cancer is gradually decreasing, but in Mongolia, I've never been to Mongolia, but if you listen to it, you eat a lot. I think there may be some influences from differences in life and culture.
◆Choi Soo-young: I actually thought Russia and China were the first and second in gastric cancer incidence. It's because I drink a 50 degree vodka or 60 degrees because I'm drinking a solo.
◇ Lee Ik-seon: Yes, more than 80% of early gastric cancer cases do not show any special symptoms and are similar to gastritis symptoms, so they are often overlooked.
◈Old competition: That's right. As I said earlier, stomach cancer can be found even if you just do it with a medical examination. In most cases, nothing is found even with gastroscopy because there are symptoms. It's kind of a scary story. There are also statistics like this. There is also a statistic that when I looked at the statistics of late-stage gastric cancer patients later, there were only half of the symptoms even in late-stage gastric cancer. That's why it's kind of hard to rely solely on symptoms. That's why we're continuing to implement health checkups and national examination projects, but you have to set a period and take a gastroscopy after a certain period of time, so you can set this period and receive it. Since the period depends on the condition of your stomach, it is right to consult with a specialist and decide after consulting with the specialist who saw the gastroscopy for the first time.
◆Choi Soo-young: They told me to come every year.
◈Old competition: There must be something about that.
◆Choi Soo-young: So there's something, but they just talk about reflux esophagitis or something. It's done on a yearly basis. Anyway, I'm doing it.
◈Old competition: It's not that hard. I think it would be good to do it on a yearly basis.
◆Choi Soo-young: Yes, there are cases where you just get diagnosed and find a disease. Do you have any symptoms as a doctor that can tell you to come to the hospital as soon as you detect any of these symptoms?
◈Old competition: This is my personal opinion. There were many cases where you didn't have to worry about heartburn and stomachache. I feel bloated. There were many times when the results were a little bad. So, my personal opinion is that if you feel bloated or if you can't digest, it's better to get a gastroscopy. I recommend a lot now.
◇ Lee Ik-seon: Is reflux esophagitis a disease that comes like a set with gastritis?
◈Old competition: It's easy to do that. Because I told you earlier that gastritis can be diagnosed as a symptom. So, having symptoms means that your stomach is difficult. If it's hard, your stomach can't fall down well. That's why I can't digest well. Then, if it's hard, you can't get off all of it, so you're going to reverse up. So reflux esophagitis is more likely to occur,
◇ Profit line: And you drink coffee, so that muscle is neutralized.
◈Old competition: Yes, then your stomach acid flows backward and that's how it's related.
◆Choi Soo-young: Then this gastritis or something is actually closely related to what we eat, but it's actually my habit to eat. Then, I'm sure you've talked a lot about eating habits and eating habits to patients, but could you tell our listeners in detail?
◈Old competition: I think this is the same for any body. Not only on the stomach, but if you use it a lot, and if you use it too often, it will go bad. That's why people eat the stomach too often these days. I can't stand being hungry at all. So, there are so many delicious things to eat and eat from time to time, so there are many cases where you continue to crave for a certain taste. Then, the stomach can't rest. I'm trying to work and rest, but when I come in again, I release acid again, and then I work on the top. If you eat and sleep until night, the speed of going down is very different from when standing and lying down. So, it continues to accumulate and stimulates the secretion of acid in the stomach. The above is an obedient subordinate. If something touches you after eating something, you just secrete it. I keep doing what I'm told, but she also likes to work regularly and take breaks. Who would love it if my boss asked me to do it on kakaotalk at night? But as the saying goes, "I don't like to work like this all the time," and as the saying goes, eat regularly and eat too often. That's the number one thing I'm telling you.
◆Choi Soo-young: Then this is a little different, but in the case of intermittent fasting, will the stomach be grateful?
◈Old convention: I don't think intermittent fasting is bad. So I'm a bit divided now. There are different opinions. From my point of view, The break is long, so if you're around people who are intermittently fasting, ask. You don't feel as hungry as you think. Because you get used to it, there are many cases where you don't feel that hungry. Few people complain of indigestion or these symptoms.
◇ Proficiency line: You know, there are cases like this. I finished dinner too early and ate roughly, so I tried to sleep, but I held it in because I thought I shouldn't eat even though I was hungry, but if I held it in, I couldn't sleep more. To what extent will your stomach forgive you in this case?
◈Old competition: That's why you have to eat well whatever your lifestyle is important. So it's the fault of eating hungry, and then being hungry is inevitable. It's good for your stomach and whole body health to eat enough good food so that you don't get hungry early. I want to say this.
◇Lee Ik-seon: But when I can't stand it, it's like water or milk?
◈Old competition: You can't relieve hunger because you drank water, right? Imagine if it's less oily and greasy. If you spill the juice on the desk. It's hard to clean. It's sticky, so what if I spill water? It cleans well. It's the same for latitude. I try to wipe off the oily ones quickly, so I don't wipe off the oily ones. So it's better to eat something less oily.
◇ Lee Ik-seon: Let me ask you a question. "Fan ID" said, "I have severe respiratory problems. I want to get a gastroscopy, but I can't because I'm scared. Wouldn't sleep endoscopy be a problem? Someone asked this question.
◈Old competition: We need to know exactly what kind of disease it is now. Usually, we use propofol for sleep endoscopy. But there are many cases where propofol is not a problem, and I don't think it'll be a problem if you do it in a place where you have specialized personnel, such as an oxygen mask that can help you breathe like this. However, general health check-up centers probably won't tell you if you hear this.
◇Lee Ik-seon: Then you don't have to do sleep endoscopy.
◈Old competition: So you can just do it, but that's scary again, right? So in that case, I tend to be fully prepared and use a small amount. Because this propofol went out of my body quickly, I woke up quickly. It doesn't last long and you don't have to worry too much about the side effects.
◇Lee Ik-seon: 'I took the Helicobacter pylori medicine for two weeks and tested it, and it's still there. Do I have to keep taking the medicine? ’
◈Old competition: Helicobacter bacteria. There are guidelines. The first-line treatment, second-line treatment, and third-line treatment are set as guidelines by the society. It's one to two weeks, and now it varies from hospital to hospital. You can prescribe it for 1 week or 2 weeks, but I think it's a case where you took the first dose and it didn't go away. That happens a lot. So these days, the antibiotic resistance rate is high, so up to 30% of them are resistant, so if they don't disappear. You have to come back to the hospital and get a prescription for the second dose. If you took the second dose and it still hasn't disappeared, there are many cases where you just have to wait and see. Because tertiary drugs do not have such a high rate of recombination, and the burden on the drug increases, there are many cases where you just look at the gastroscopy regularly to see if there is a problem with your stomach.
◆Choi Soo-young: I see. As I said earlier, there are a lot of year-end parties these days. You have the worst boss up there. So when we go to eat snacks, we don't eat anything bland. I eat salty and spicy things, then I eat something sweet, then I eat oily, then I spin the bomb, drink it, and smoke a cigarette. Then, should I be sabotaged? Do I have to close my business?
◈Old competition: Of course it's not good. But if we want to protect them, we can't live without eating that. You have to have a year-end party and eat delicious food. Please give me a little time after you eat. Don't lie down and sleep, take a walk, drink, and of course, you want to sleep right away, but after drinking, you can walk around with your colleagues and drink a lot of water.
◆Choi Soo-young: How about green tea?
◈Old competition: But green tea contains caffeine, so it's hard to recommend it. It's because you keep drinking plain water, which helps with alcohol decomposition and your stomach is also healthy.
◆Choi Soo-young: But we can't help but have a year-end party. And I have to eat it again. If you can recommend a few snacks that I can drink and enjoy?
◈Old competition: This is too difficult. In fact, many people, whether they are gastritis or diabetic patients, who come to our hospital, say that they should eat well when they eat. Let's eat well and do some follow-up care as I said before. I hope you can do something that can protect you by exercising or drinking a lot of water. Just enjoy everything.
◆Choi Soo-young: There's a saying that if you enjoy it when you eat it, it's 0 calories, but it's not true.
◇ Profit line: Is there an appropriate period for the gastroscopy?
◈Old competition: Generally. The national examination project now recommends gastroscopy every two years from the age of 40. So that's common. For example, it is recommended once a year for those with severe atrophic gastritis, those with a slightly higher incidence of gastric cancer due to severe intestinal metaplasia, or those with a family history of gastric cancer. Once a year or the last gastroscopy found a gastric ulcer with a severe gastric ulcer, or it is recommended to try it again two months later.
◆Choi Soo-young: Is there a similar family history between esophageal cancer and stomach cancer?
◈Old competition: I think that's a little different. Other stomach cancer and esophageal cancer have very different mucosal properties. I think it's right to look at the esophagus and stomach with different organs.
◆Choi Soo-young: Let me introduce the story. "I have both combinations of gastritis reflux esophagitis, and curiously, if I lie on my left side, my stomach hurts less, and if I lie on my right side, I feel more pain. Is this just me feeling? Or is it true? ’ She texted me.
◈Old competition: When viewed from the anatomical structure, it's esophagus and the shape is skewed to the left. Since there is a liver on the right side, it is skewed to the left in an s-shape, but if you lie on the left side, the food in the stomach does not pour into the esophagus, but if you lie on the right side, it does. So when we do gastroscopy, we lie the patient on the left and do gastroscopy.
◇Lee Ik-seon: Yes, that's right. "Fan ID" said, "I have heartburn often. I thought it was because my stomach acid was excessive, but I was diagnosed with a lack of stomach acid. Are there any good things for the lack of stomach acid? ’ She texted me.
◈Old competition: First of all, we need to check how you got the diagnosis or where you got it. Because it's not easy to diagnose a lack of stomach acid. And it is not common for the lack of stomach acid to cause heartburn. Therefore, I think this was a trick because of another cause after checking. I think it would be better to get a diagnosis more clearly.
◆Choi Soo-young: Another listener's question is that if this is for men, I have a question that I always ask. He runs well with strong alcohol and is killed in the last beer. Does getting drunk also have to do with the order of the chief servant? While you're doing it, do you think you're less drunk drinking makgeolli beer in order than drinking makgeolli in order of beer? '
◈Old Convention: I'm not an alcohol expert, but the reason I know this is because. I wrote this in a magazine once, so I looked it up then. There are interesting studies. The United Kingdom and Germany have done this experiment together once. It was concluded that the order of the tree species was irrelevant, but in the end, the order of the tree species was irrelevant. But looking at the research structure, it's a little wrong. The comparison between these two alcoholic beverages compared the beer and white wine. The frequency is almost the same. So I quickly get drunk that it's bad to drink alcohol not only in Korea but also in the world. Many people say it's not good for hangovers. But I think it's reliable. If you drink beer first, you can drink a lot of water. Since the alcohol content is low, we have enough time to handle the low alcohol content first, but we also have enough time to detoxify it. It helps a lot because you drink a lot of water together, but if you drink alcohol first, you're already distracted from breaking down the alcohol. But then if you drink a little beer, it's already overflowing with a little alcohol there.
◇ Lee Ik-seon: I see. It's almost the promised time. Is there anything you want to say to your listeners at this time?
◈Old competition: There's nothing I really want to ask. I hope you get a medical check-up consistently. I don't think you're confident in your health. It is very unfortunate to see that both healthy and young friends come and are diagnosed with terminal cancer.
◇Lee Ik-seon: Knowledge battery that conveys health I was with the president of the OK Internal Medicine Ward Association. Thank you.
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□ Broadcast date and time: November 29, 2024 (Fri)
□ Host: Lee Ik-seon, Choi Soo-young
□ Contributor: Old Society of Internal Medicine (Director of the Department of Internal Medicine, OK)
* The text below may differ from the actual broadcast content, so please check the broadcast for more accurate information.
◇ Profitsun: Your week's dead energy. You're going to charge it here. To reduce the knowledge of health, we will be with the president of the Okay Internal Medicine Ward Association, an internal medicine specialist. Welcome, director. Hello. It's full-fledged year-end party season. So today, we will look at gastritis, a disease caused by excessive drinking and overeating. If you have any questions about it, please text me if you have anything you want to say, "Oh, I'm in a similar situation."
◈Old competition: Hello.
◇Lee Ik-seon: I heard that more people are visiting the hospital for gastritis as drinking is becoming more frequent these days, is that true?
◈Old competition: Yes, as winter is coming and the end of the year is coming, there are many seats, so your diet is not good. And as you said, too much drinking is also present, so more people come with symptoms such as heartburn or indigestion. It gets more in winter. There are statistics that the increase in gastritis and these symptoms in winter is due to problems with gastric motility. Some say that it is now affected by the difference in temperature. So the number of patients increases one way or the other.
◆Choi Soo-young: I see. When we say gastritis, it feels like a disease in everyday life. So in the past, we found and ate gel OOO, but I heard that gastritis is largely divided into acute and chronic. Then I think, 'What's chronic now? Then maybe I'm chronic?' What are the criteria for chronicity?
◈Old competition: There is no standard for dividing gastritis into chronic or acute. Usually, people who continue to visit the hospital often call it chronic gastritis because of repeated and continuous heartburn, indigestion, or gastritis symptoms. I'm okay, but I've been under a lot of certain stress, my diet has been bad recently, I've taken something wrong, or I've taken the wrong medicine, so I suddenly have symptoms, come to the hospital, get prescribed medicine, and 'It got better after a few days.' People who say, 'Oh, it was acute gastritis.' But then you might say that the standard is too ambiguous, so if I say it more clearly as a doctor, This is because the diagnosis of gastritis can be diagnosed and prescribed medicine only with symptoms. For those with severe symptoms and severe stomach pain, if you look at the gastroscopy. There are a lot of people who have a clean gastroscopy. If you come to the examination and do it without any symptoms, there are some people who do not feel reflux esophagitis even if they look at the gastroscopy. Therefore, many people have gastritis or gastric ulcers, or even those who have gastric cancer without symptoms are found without symptoms, so it is correct to look at gastritis, which is diagnosed as a symptom, and gastritis, which is diagnosed by gastroscopy and histopathology, a little differently.
◆Choi Soo-young: But we often have to be really sick. So, don't you mean that there are cases where it's very dangerous even when it's not sick?
◈Old competition: That's right. It is often found very dangerous when you are just sick than you think. But there were many cases where it was found much more seriously than I thought.
◇ Lee Ik-seon: Is that a genetic difference? Or is it the difference in personal endurance? What's the difference?
◈Old competition: First of all, the gender gap is a bit big. Some men don't feel it very well. Women feel sensitive even if there are few wounds, so there are a lot of people who constantly complain of gastritis symptoms. So, since the diagnosis is made only by symptoms, I think it's hard to distinguish between acute and chronic.
◆Choi Soo-young: Is the top of the man thick? Compared to women?
◈Old competition: I'm not sure about that, but from my experience, I'm telling you now.
◇Lee Ik-seon: It is interpreted that gastritis has inflammation in the stomach, is that the expression correct? So what is the biggest cause of gastritis?
◈Old competition: If the biggest cause of gastritis is bad eating habits and lifestyle habits may be the first in Korea. Coffee seems to be the cause of the recent increase. Caffeine coffee, these days, and there are so many caffeine drinks. Those things stimulate caffeine even though it's stomach acid. It also plays a role in releasing the sphincter between the stomach and the esophagus, causing a lot of reflux esophagitis. But everyone loves coffee and a lot of people drink it. As a result, many people are complaining of gastritis symptoms because of that.
◇Lee Ik-seon: Then, how much coffee do you think is appropriate daily as an internal doctor?
◈Old competition: It's so different from person to person. Some people can't completely remove decaffeinated caffeine just by drinking decaffeinated coffee. As a result, there are people who can't eat decaffeinated coffee because they develop symptoms. There are some people who are fine even if they drink 5-6 cups a day.
◇ Lee Ik-seon: You're right. Then it's hard to recommend this. If I say, "My heart aches when I drink coffee," I'll have to stop.
◈Old competition: That's better.
◆Choi Soo-young: But it's something we often hear, and there's a saying that the infection of Helicobacter pylori is one of the causes.
◈Old competition: Helicobacter bacteria are a lot of bacteria in Korea. It is a fungus that lives in the stomach and eats the stomach little by little and eventually destroys the stomach. There have been many cases in Korea since a long time ago, so it is a bacteria that causes gastritis, gastric ulcers, or even stomach cancer caused by atrophic gastritis. So, if it is found in gastroscopy, I actively recommend treatment.
◇Lee Ik-seon: But is there a lot of reasons in Korea?
◈Old competition: The cause of this is unknown, of course. In the past, Korea used to put rice together and eat it together with national soup. As a result, it is transmitted to children between families, and even after those children grow up, bacteria remain in the stomach and continue to bother the stomach.
◆Choi Soo-young: But I used to eat that a lot in the past, but these days, everyone eats it in small portions.
◈Old competition: So it's decreasing a lot. The number of people with Helicobacter bacteria is also decreasing, but the incidence of gastric cancer is also decreasing, so I'm thinking, 'It gives some results because it gives some causes.'
◇Lee Ik-seon: Our country especially eats hot soup or hot food like this. But I've heard a lot that it's never good.
◈Old competition: But it's above the top when it's hot. The esophagus is weaker than the stomach. The stomach has to withstand the acid and the thickness is a little, so it's not easily deformed from hot things. It is not good to drink too hot drinks or such as hot drinks as a cause of esophageal cancer in the esophagus while crossing the esophagus.
◆Choi Soo-young: If chronic gastritis is left unattended, the incidence of gastric cancer increases. It's often official like this. Is it right?
◈Old competition: All bodies are like that. Don't many bad things happen if you leave inflammation unattended? Among them, if stomach inflammation is left unattended, gastric cancer and gastric ulcers can occur, so 100% gastric cancer and gastric ulcers are caused by gastritis. I can't do it 100% but I think it contributes a lot to that.
◇Lee Ik-seon: Here's an interesting statistic. According to the World Health Organization, the incidence of stomach cancer in Korea is 27 per 100,000 people, ranking third in the world after Mongolia and Japan. But I'm surprised that we're in third place, but I'm also surprised that Mongolia and Japan outnumber us.
◈Old competition: I know. But as I said earlier, the incidence of gastric cancer in Korea is gradually decreasing. And now, statistics have been established for a long time as Japan and Korea have a high incidence of gastric cancer worldwide. These days, we know that the ranking of gastric cancer has been pushed down to 3rd or 4th place in Korea, and it may vary depending on the time of statistics, but gastric cancer is said to decrease the number of Helicobacter anyway, and salt intake is decreasing a lot these days. As people become more interested in well-being, they don't really like eating salty food anymore, so the incidence of stomach cancer is gradually decreasing, but in Mongolia, I've never been to Mongolia, but if you listen to it, you eat a lot. I think there may be some influences from differences in life and culture.
◆Choi Soo-young: I actually thought Russia and China were the first and second in gastric cancer incidence. It's because I drink a 50 degree vodka or 60 degrees because I'm drinking a solo.
◇ Lee Ik-seon: Yes, more than 80% of early gastric cancer cases do not show any special symptoms and are similar to gastritis symptoms, so they are often overlooked.
◈Old competition: That's right. As I said earlier, stomach cancer can be found even if you just do it with a medical examination. In most cases, nothing is found even with gastroscopy because there are symptoms. It's kind of a scary story. There are also statistics like this. There is also a statistic that when I looked at the statistics of late-stage gastric cancer patients later, there were only half of the symptoms even in late-stage gastric cancer. That's why it's kind of hard to rely solely on symptoms. That's why we're continuing to implement health checkups and national examination projects, but you have to set a period and take a gastroscopy after a certain period of time, so you can set this period and receive it. Since the period depends on the condition of your stomach, it is right to consult with a specialist and decide after consulting with the specialist who saw the gastroscopy for the first time.
◆Choi Soo-young: They told me to come every year.
◈Old competition: There must be something about that.
◆Choi Soo-young: So there's something, but they just talk about reflux esophagitis or something. It's done on a yearly basis. Anyway, I'm doing it.
◈Old competition: It's not that hard. I think it would be good to do it on a yearly basis.
◆Choi Soo-young: Yes, there are cases where you just get diagnosed and find a disease. Do you have any symptoms as a doctor that can tell you to come to the hospital as soon as you detect any of these symptoms?
◈Old competition: This is my personal opinion. There were many cases where you didn't have to worry about heartburn and stomachache. I feel bloated. There were many times when the results were a little bad. So, my personal opinion is that if you feel bloated or if you can't digest, it's better to get a gastroscopy. I recommend a lot now.
◇ Lee Ik-seon: Is reflux esophagitis a disease that comes like a set with gastritis?
◈Old competition: It's easy to do that. Because I told you earlier that gastritis can be diagnosed as a symptom. So, having symptoms means that your stomach is difficult. If it's hard, your stomach can't fall down well. That's why I can't digest well. Then, if it's hard, you can't get off all of it, so you're going to reverse up. So reflux esophagitis is more likely to occur,
◇ Profit line: And you drink coffee, so that muscle is neutralized.
◈Old competition: Yes, then your stomach acid flows backward and that's how it's related.
◆Choi Soo-young: Then this gastritis or something is actually closely related to what we eat, but it's actually my habit to eat. Then, I'm sure you've talked a lot about eating habits and eating habits to patients, but could you tell our listeners in detail?
◈Old competition: I think this is the same for any body. Not only on the stomach, but if you use it a lot, and if you use it too often, it will go bad. That's why people eat the stomach too often these days. I can't stand being hungry at all. So, there are so many delicious things to eat and eat from time to time, so there are many cases where you continue to crave for a certain taste. Then, the stomach can't rest. I'm trying to work and rest, but when I come in again, I release acid again, and then I work on the top. If you eat and sleep until night, the speed of going down is very different from when standing and lying down. So, it continues to accumulate and stimulates the secretion of acid in the stomach. The above is an obedient subordinate. If something touches you after eating something, you just secrete it. I keep doing what I'm told, but she also likes to work regularly and take breaks. Who would love it if my boss asked me to do it on kakaotalk at night? But as the saying goes, "I don't like to work like this all the time," and as the saying goes, eat regularly and eat too often. That's the number one thing I'm telling you.
◆Choi Soo-young: Then this is a little different, but in the case of intermittent fasting, will the stomach be grateful?
◈Old convention: I don't think intermittent fasting is bad. So I'm a bit divided now. There are different opinions. From my point of view, The break is long, so if you're around people who are intermittently fasting, ask. You don't feel as hungry as you think. Because you get used to it, there are many cases where you don't feel that hungry. Few people complain of indigestion or these symptoms.
◇ Proficiency line: You know, there are cases like this. I finished dinner too early and ate roughly, so I tried to sleep, but I held it in because I thought I shouldn't eat even though I was hungry, but if I held it in, I couldn't sleep more. To what extent will your stomach forgive you in this case?
◈Old competition: That's why you have to eat well whatever your lifestyle is important. So it's the fault of eating hungry, and then being hungry is inevitable. It's good for your stomach and whole body health to eat enough good food so that you don't get hungry early. I want to say this.
◇Lee Ik-seon: But when I can't stand it, it's like water or milk?
◈Old competition: You can't relieve hunger because you drank water, right? Imagine if it's less oily and greasy. If you spill the juice on the desk. It's hard to clean. It's sticky, so what if I spill water? It cleans well. It's the same for latitude. I try to wipe off the oily ones quickly, so I don't wipe off the oily ones. So it's better to eat something less oily.
◇ Lee Ik-seon: Let me ask you a question. "Fan ID" said, "I have severe respiratory problems. I want to get a gastroscopy, but I can't because I'm scared. Wouldn't sleep endoscopy be a problem? Someone asked this question.
◈Old competition: We need to know exactly what kind of disease it is now. Usually, we use propofol for sleep endoscopy. But there are many cases where propofol is not a problem, and I don't think it'll be a problem if you do it in a place where you have specialized personnel, such as an oxygen mask that can help you breathe like this. However, general health check-up centers probably won't tell you if you hear this.
◇Lee Ik-seon: Then you don't have to do sleep endoscopy.
◈Old competition: So you can just do it, but that's scary again, right? So in that case, I tend to be fully prepared and use a small amount. Because this propofol went out of my body quickly, I woke up quickly. It doesn't last long and you don't have to worry too much about the side effects.
◇Lee Ik-seon: 'I took the Helicobacter pylori medicine for two weeks and tested it, and it's still there. Do I have to keep taking the medicine? ’
◈Old competition: Helicobacter bacteria. There are guidelines. The first-line treatment, second-line treatment, and third-line treatment are set as guidelines by the society. It's one to two weeks, and now it varies from hospital to hospital. You can prescribe it for 1 week or 2 weeks, but I think it's a case where you took the first dose and it didn't go away. That happens a lot. So these days, the antibiotic resistance rate is high, so up to 30% of them are resistant, so if they don't disappear. You have to come back to the hospital and get a prescription for the second dose. If you took the second dose and it still hasn't disappeared, there are many cases where you just have to wait and see. Because tertiary drugs do not have such a high rate of recombination, and the burden on the drug increases, there are many cases where you just look at the gastroscopy regularly to see if there is a problem with your stomach.
◆Choi Soo-young: I see. As I said earlier, there are a lot of year-end parties these days. You have the worst boss up there. So when we go to eat snacks, we don't eat anything bland. I eat salty and spicy things, then I eat something sweet, then I eat oily, then I spin the bomb, drink it, and smoke a cigarette. Then, should I be sabotaged? Do I have to close my business?
◈Old competition: Of course it's not good. But if we want to protect them, we can't live without eating that. You have to have a year-end party and eat delicious food. Please give me a little time after you eat. Don't lie down and sleep, take a walk, drink, and of course, you want to sleep right away, but after drinking, you can walk around with your colleagues and drink a lot of water.
◆Choi Soo-young: How about green tea?
◈Old competition: But green tea contains caffeine, so it's hard to recommend it. It's because you keep drinking plain water, which helps with alcohol decomposition and your stomach is also healthy.
◆Choi Soo-young: But we can't help but have a year-end party. And I have to eat it again. If you can recommend a few snacks that I can drink and enjoy?
◈Old competition: This is too difficult. In fact, many people, whether they are gastritis or diabetic patients, who come to our hospital, say that they should eat well when they eat. Let's eat well and do some follow-up care as I said before. I hope you can do something that can protect you by exercising or drinking a lot of water. Just enjoy everything.
◆Choi Soo-young: There's a saying that if you enjoy it when you eat it, it's 0 calories, but it's not true.
◇ Profit line: Is there an appropriate period for the gastroscopy?
◈Old competition: Generally. The national examination project now recommends gastroscopy every two years from the age of 40. So that's common. For example, it is recommended once a year for those with severe atrophic gastritis, those with a slightly higher incidence of gastric cancer due to severe intestinal metaplasia, or those with a family history of gastric cancer. Once a year or the last gastroscopy found a gastric ulcer with a severe gastric ulcer, or it is recommended to try it again two months later.
◆Choi Soo-young: Is there a similar family history between esophageal cancer and stomach cancer?
◈Old competition: I think that's a little different. Other stomach cancer and esophageal cancer have very different mucosal properties. I think it's right to look at the esophagus and stomach with different organs.
◆Choi Soo-young: Let me introduce the story. "I have both combinations of gastritis reflux esophagitis, and curiously, if I lie on my left side, my stomach hurts less, and if I lie on my right side, I feel more pain. Is this just me feeling? Or is it true? ’ She texted me.
◈Old competition: When viewed from the anatomical structure, it's esophagus and the shape is skewed to the left. Since there is a liver on the right side, it is skewed to the left in an s-shape, but if you lie on the left side, the food in the stomach does not pour into the esophagus, but if you lie on the right side, it does. So when we do gastroscopy, we lie the patient on the left and do gastroscopy.
◇Lee Ik-seon: Yes, that's right. "Fan ID" said, "I have heartburn often. I thought it was because my stomach acid was excessive, but I was diagnosed with a lack of stomach acid. Are there any good things for the lack of stomach acid? ’ She texted me.
◈Old competition: First of all, we need to check how you got the diagnosis or where you got it. Because it's not easy to diagnose a lack of stomach acid. And it is not common for the lack of stomach acid to cause heartburn. Therefore, I think this was a trick because of another cause after checking. I think it would be better to get a diagnosis more clearly.
◆Choi Soo-young: Another listener's question is that if this is for men, I have a question that I always ask. He runs well with strong alcohol and is killed in the last beer. Does getting drunk also have to do with the order of the chief servant? While you're doing it, do you think you're less drunk drinking makgeolli beer in order than drinking makgeolli in order of beer? '
◈Old Convention: I'm not an alcohol expert, but the reason I know this is because. I wrote this in a magazine once, so I looked it up then. There are interesting studies. The United Kingdom and Germany have done this experiment together once. It was concluded that the order of the tree species was irrelevant, but in the end, the order of the tree species was irrelevant. But looking at the research structure, it's a little wrong. The comparison between these two alcoholic beverages compared the beer and white wine. The frequency is almost the same. So I quickly get drunk that it's bad to drink alcohol not only in Korea but also in the world. Many people say it's not good for hangovers. But I think it's reliable. If you drink beer first, you can drink a lot of water. Since the alcohol content is low, we have enough time to handle the low alcohol content first, but we also have enough time to detoxify it. It helps a lot because you drink a lot of water together, but if you drink alcohol first, you're already distracted from breaking down the alcohol. But then if you drink a little beer, it's already overflowing with a little alcohol there.
◇ Lee Ik-seon: I see. It's almost the promised time. Is there anything you want to say to your listeners at this time?
◈Old competition: There's nothing I really want to ask. I hope you get a medical check-up consistently. I don't think you're confident in your health. It is very unfortunate to see that both healthy and young friends come and are diagnosed with terminal cancer.
◇Lee Ik-seon: Knowledge battery that conveys health I was with the president of the OK Internal Medicine Ward Association. Thank you.
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